Provider Demographics
NPI:1902008055
Name:WELLNESS WIRELESS
Entity Type:Organization
Organization Name:WELLNESS WIRELESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-897-9900
Mailing Address - Street 1:3 RIVERWAY
Mailing Address - Street 2:SUITE 825
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1919
Mailing Address - Country:US
Mailing Address - Phone:281-897-9900
Mailing Address - Fax:281-897-9906
Practice Address - Street 1:3 RIVERWAY
Practice Address - Street 2:SUITE 825
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1919
Practice Address - Country:US
Practice Address - Phone:281-897-9900
Practice Address - Fax:281-897-9906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies